Organization
LICKING MEMORIAL PROFESSIONAL CORP.
Active
Other names
Licking Memorial Womens Health Pataskala
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A. MONTAGENSE (EXECUTIVE V.P.)
(740) 348-4000
Entity
Organization
Contact information
Practice address
1 HEALTHY PL, SUITE 103, PATASKALA, OH 43062-7067
(740) 348-1920
(740) 348-1921
Mailing address
1 HEALTHY PL, SUITE 103, PATASKALA, OH 43062-7067
(740) 348-1920
(740) 348-1921
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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